壁细胞迷切术加修补术治疗十二指肠溃疡穿孔远期疗效观察  

Long-term results of parietal cell vagotomy plus suture in the treatment of duodenal ulcer perforation

作　　者：吴性江[1] 邹忠寿[1] 黎介寿[1] 韩建明[1] 

机构地区：[1]南京军区南京总医院,210002

出　　处：《普外临床》1995年第2期90-91,共2页

摘　　要：作者采用壁细胞迷切加穿孔修补术(PCV+S)治疗40例十二指肠溃疡穿孔患者。同期采用壁细胞迷切术(PCV)治疗40例慢性十二指肠溃疡。术后1～5年的随访结果表明:急诊 PCV+S 和择期PCV 同样具有显著降酸和促进溃疡愈合作用,远期疗效属 Visiek Ⅰ和Ⅱ级者为87.5%,溃疡复发3例,仅1例需再手术。因此,PCV+S 是值得推荐的手术。Since 1988,40 patients with perforated duodenal ul- cer were treated with parietal cell vagotomy plus suture of the perforation(PCV+S).In the same period,40 pa- tients with chronic duodenal ulcer were operated with parietal cell vagotomy(PCV).Follow-up found that all patients recovered quickly after the operation.Endoscopy performed two weeks after the operation found complete ulcer healing rate was 60% and 80%,and par- tial healing rate 40% and 20%,respectively in PCV+S andin PCV.The acid secretion test showed that BAO, IMAO_1 and IMAO_2 in PCV+S were higher than those in PCV(P<0.05).Follow-up of 1～5 years found no dif- ference in the acid secretion between PCV+S and PCV. The patients belonging to visick grade Ⅰ and Ⅱ were87. 5% and 92.5% respectively in PCV+S and in PCV. Therefore,PCV+S was similar to PCV in reducing the acid secretion and promoting the ulcer cure.

关 键 词：迷走神经切断术 壁细胞 胃十二指肠溃疡 修复术 

分 类 号：R656.62[医药卫生—外科学]